HomeMy Public PortalAbout10531 BOGUE ST_Building__ 76A638A CE#8032-63 APPLICATION FOR BUILDING PERMIT IJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENTOFCOUNTY ENGINEER ADDRESS t>,S'i'
BUILDINGY'yAND SAFETY DIVISION LOCALITY G'
JOHN A. L'AMBLE. COUNTY ENGINEER NEAREST '
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN CONST. ]
BUILDINGO�� .Ul�- STATISTICAL CLASSIFICATION - SEWER MAP
ADDRESS o BK PG
CLASS. NO. DWELL. UNITS
LOT NO. -24 BLOCK WATER ,
OG CERTIFICATE: NOT REQUIRED:❑ RECEIVED ❑
TRACT - 860 'MAP HIGHWAY
g �X{' F BLDGS. NO. STATE MAJOR.SECOND, LOCAL
SIZE OF LO 61� ]� X NOW ON LOT USE ZONE SPECIAL
USE OF ��[[ O - - CONDITIONS
EXISTING DGS . ms.-/
.. µ -
OWNERJDDaldwin BldgContr N0443-5710 BUILDING EXIST.
SETBACK YARD •HWY - STREET NAME WIDTH'
ADDRESS 5011 Baldwin.Ave. Temple, Cit FRONTARCHITEC _
ENG NEERT OR ROdwell NO`$Y �-6853 P. L.
Lou*J� SIDE �
1 P. L. a
ADORESS 11224_ Aralia Rd. Altadena
CONTRACTOR B•B.C• NOS to �"E,. lE
� e>_c__ 4*-- ,
r.
ADDRESS 0 1 Baldivin Ave, Temple �±� t�:�l -• - � - S IS• �d���7 O
5 City
DESCRIPTION OF WORK �v ? fie ! _U IDA �U 9 W
NEW X DD AL ER REPAIR DEMOLISH
SQ. FT. I NO. OF NO, OF C-1it,, U=
SIZE _ STORIES .1 FAMILIES
USE OF / 9_-!1-6& sl.8:AJ1
STRUCTURE Residence & Gara e .-.r +
SIGNA`T-UREO U
APPLIC°,
VALUATIO -' 0I
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE S-3-7 FEE FORMS-, MATERIALS +••`7'll ,(XLT"" h
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION . BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE_ LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL- OT EMPLOY ANY PERSON IN VIOLA- LATH. INT. r. ,z,,,,
TION OF THE LABOR C OF THE STATE OF CA IF NIA RELAT-
ING TO WORKMEN'S C MPE ATION INSURANCE.
LATH, EXT. '
SIGNATU � HOUSE NUMBER COR- - ...
PERMITTEE 'X'' •••._ RECT AND POSTED
ADDRESS • .FINAL l.II � ✓�+Y �'�`wWr"�`�
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M.G. CASH
l l`tvtl 6 6 3..a A-P P' 14' 3 DI .3 7.'-'
5'�
76A638A CEti 3 3-69 APPLICATION FOR BUILD G PERM W�
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS / [/
BUILDING AND SAFETY DIVISION LOCALITY r
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT N0. _ GROUP TYPE T. PRO
(PRINT OR TYPE ONLY)
BUILDING B �� ��^ 510
STATISTICAL CLA FICATION SEW R MAP
ADDRESS O_6 3
CLASS NO: DWELL.UNITS BK ' PG•
LOT NO. BLOCK USE ZONE MAP '� �lO
�/ N O. �/ -
rEXISTING
Q SPECIAL
1 N0. OF BLOGS. CONDITIONS '
NOW ON LOT
_
G.1-11 E' I� BLDG. SETBACK FROM
^•►� EL. \? FRONT PROP. LINE OF (STREET)
/ •/�-� ��- o�j N0. I-� -3 TYPE OF EXISTING SETBACK HIGHWAY' + - 'YARD TOTAL
ADDRESS"' �� JN D/` HIGHWAY WIDTH FROM C.L.
CITY ' G PLC C T BLDG.SETBA - +
ARCHITECT OR TEL. SIDE PROP. LINE 0 (STREET)_
ENGINEER �'- N0.
TYPE OF EXISTING- SETBACK HI + YARD = TOTAL
ADDRESS A' HIGHWAY WIDTH FROM C.L.
TEL. +
CONTRACTOR&'e,! NO.
ADDRESS NO +,� CORNER CUTOFF YES ❑ NO ❑ u
• � �•. � LIC..? L•,�.,;�� I �
CITY � '1 �- + bCLA'SS;nt_ 3�� SE REVERSE SIDE F R S ECTAL APPROVALS l
CONSTRUCTION LENDER ~
NAME AND BRANCH ., w
rL
ADDRESS _ ' s t' 4 _� a Z
SQ. FT. N0. OF N0. OF
SIZE STORIES• FAMILIES ( NEW ❑ ����= "� - `
USE C r i ADD ❑ ti�
zl
STRUCTURE ❑
ALTER
Lo G(/ff'LL REPAIR ❑ q
❑ !�
SIGNATURE OF DEMOL
APPLICANT l 1
VALUATION $ APPROVALS ATE IHsclog's IGNATURE
FEE $ FEE $ �Q FOUNDATION: LOCATION /LY
FORMS,
ORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, _
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE To COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LAT.H, INT.
OF THESTATE CALIFORNIA IN RELATING To WORKMEN'S COM-
PENSATION INS NCE. /� LATH, EXT.
SIGNATURE - HOUSE NUMBER CORRECT
PERMIT TE AND POSTED
ADDRES d - FINAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER TR
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION / •N. M.O. CASH
r� 1 $ E -0!`o SEP 16 1 D 9-00N
WORKERS'COMPENSATION DECLARATION
,I he 6i; affirm that I have 'a certificate of consent to self - A■ ■ I CAT I O,N FOR B U I L D.I N'G PERMIT .
insure, or a certificate of Workers' Compensation Insurance,
or'd'certified copy ther fof (SsG;,,43800;Lab.C)
+ ;. COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company -
❑: Certified-'copy ,s hereby-furnished. FOR APPLICANT TO FILL IN BUILDING
- k-1
❑ Cerfrfied copy is filed with the county building inspec- BUILDING /Q t� �� ADDRESS
� i C �t
t,on'department' ADDRESS / t�
Date ` ',' A licant CITY �}--F 6
PP 1 \ 1 F' ZIP f LOCALITY
CERTIFICATE OF'EXEMPTION FROM WORKERS' `^ -NOr•OF BLDGS NEAREST
COMPENSATION INSURANCE SIZE,OF LOT NOW ON LOT CROSS 57
(This section need not be' completed ,f the permit ,s4or`one TRACT BLOCK LOT NO. r
ASSESSOR r
hundred,.dollars ($100)or less.) MAP.BOOK' _ t '•'% PAGE PARCEL
TEL USE ONE MAP
OWNER" �' y�y
I certify`that in the performance of The work for wli,eh this �� �,1 NO -�" v NO
permit is;issued, I'shall not employ any person in any'manner / ,r^ ,� - i r - SPECIAL
so as to become sublect to.th' orkers'Compe tion laws. ADDRESS /Du'� IJ OC �f CONDITIONS ^,E: ,^+ O
j V
CITY t►
Date Applicattf T"zct' )
NOTICE TO APPLICANT:'If, after making'th,s-Certific'ate of ARCHITECT OR TEL DISTRICT_..: GROUP TYPE. _ _FIRE _ PRO E ED BY 0
Ezemptron,�you-should become subject to:the Workers' - ENGINEER NO �� CONST! ZONE U
Compensation-provisions of the-Labor-Code;�.you'must forth- ADDRESS
•with complyvwith'such provisions or'this,permit shall be -• - - - - _ j - "TEL - H
IL
-deemed revoked. j STATISTICAL C N O. Z
CONTRACTOR L(!I ti L= 14t 0 mot.rp�.NO q-��i ST LASSIFI TIO APT CO D
LICENSED CONTRACTORS DECLARATION 'T _- LIC!- G_-.-. CLASS NO. DWELL' UNITS y
I Hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS USS- /- IC7 �NO �� /
(commencing with Section 7000)of Division 3 of the Business and t LIC---• - _ :..1 EWER MAP
_ _
Professions-Code, and my license is ,n''full-force and effect. CITY ®f 5 A tVIGG � Et CLASS BKVALIDATION
- SQ_FT _ NO. OF _ NO_OF CHECK_
7 J / SIZE - STORIES J.
FAMILIES ONE
License Nu jm�ber // _� ,�L,Qc Class y�f' -
1/ ..• /�t"C?Na( tate �'-a r`' ° I �� / "t' NEW-- 0 VALUATION
Contractor Li-Hir /a DESCRIPTION OF WORK-` � �f A"
�/' ADD ❑ S Yt
❑ _ ^- /• -
I am exempt under Sec. -//�- -/�1 C'��71•T�'" --
}.,e. ALTER El
B.BP.C..for this reason ❑ j• -- - _ _ -•
- ---• REPAIR--
- e: USE OF DEMOL
"
EXISTING BLDG. �LR!'� ey ❑ _
�y t
Signature / APPLICANT TEL FINAL .w
OWNER-BUILDER DECLARATION (PRINT) NO.
DATE
-I•hereby affirm that I am exempt from the Contractor's License ,
Law for the following reason (Section 7031.5, Business and ADDRESS FIN a c Z
Professions"Code): •� `:,' PRESENT. .'B - - - -. 6-4 3.O A c
❑ BUILDING r 'o,o o.e
I, 'as owner of the property, or rry employees with ADDRESS - # o
wages as their sole compensation,will do the work and• � - - -- - -• ^ - •- -"` ` -'- ``-_ '
the structure,s not intended or offered for sale Section LOCALITY u
7044;-Business and Profess ions"Code). "' ( MOVING TEL I
f
I, as owner of The property, am exclusively contracting CONTRACTOR NO ' o o- Z '.U.
❑ g _
- with licensed contractors to construct The'project'(Sec- ADDRESS b aJ -
tion 7044, Business and Professions Code). O 2 (, 8;
REQUIRED_ _.TOTAL SETBACK-FRO ,'_ _ ):
CONSTRUCTION LENDING AGENCY SET BACK YARD, HWY' PROP. LINE WIDTH r „ (
I hereby affirm that there is a construction lending agency for FRONT -
the-performance of the work for which-this permrt••is issued --P-L - - - - - - - - - - - -- - -
(Sec. 3097, Civ C.). SIDE
lender's Name - P L -
LDMA Ref #
Lender's Address - P C'Fee$.__ Permit'Fee
> `
I certify_that.l have-read this.appl,cation.and.state that the Issuance Fee D L v CDMA P/C# ---
d above information is correct. I agree to comply with all County Investigation Fee ^J
ordinances and State laws relating to building,construction, Total Fee Ot, 13 CDMA Perm #
u • and hereby authorize representatives of this County to enter
up eabove-menti d property f inspection purposes.
o �J J SEE REVERSE FOR EXPLANATORY LANGUAGE `
_. .:. - Signature of Applicant-or Agent -` Date.—� - ._ - __- `-' - -� _.... .-- -- - -- --- -1�_•..:_ - '-- - - -' -- --'- -•- •- - ---
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL- 0508 9706020036
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 28607 LT: 24 SQ. FT STORIES TYPE 10531 BOGUE ST .
STRUCTURE: 2400 VN TEMP CA 917802817
ASSESSOR. INFORMATION NUMBER: NEAREST-CROSS STREET: PAL MALL
8586-011-069 THOMAS PAGE: 597 GRID:- C3 LOCALITY:.TEMPLE CITY, C
TENANT: EXIST BLDG USE: 'RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 06/02/97 VG 06/02/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL_ DATE FINAL BY: CODE:
WILBUR PATRICK J;SUZANE E (818) 448-7949-. 5,000 /�,Id _ n
10531 BOGUE ST L lJ7 'Z
TEMP 917802817 i FEES PAID DESCRI TION OF WORK
TEAR OFF EXIST ROOF, RESHEAT AND INSTALL CLASS A COMPOSITION
APPLICANT:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
-- TEL. N0: - - -
ROOF RESTORERS CORP (818) 366-3323- AA BLDG PERMIT ISSUANCE _ 27.75
AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: -
AX BUILDING REVIEW-FEE 54.70
D2 PERMIT W/0EN-Hc- L E� 5000-00 VAL 133.05
C\\� TOTAL FEES 216.00
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ROOF RESTORERS CORP (818) 366-3323-
17367 CAGNEY ST LIC. NO /1 LOCATION-AND SETBACKS
GRANADA HILLS, CA 91344 538255
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO:, O FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
YJ�JU � RAISFD FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP(: DD (� E LPi C �, 1�0 `K UNDERFLOOR INSULATION
150-273 3 01 v�C7 ( J l/ 11 u�`�J I
--— - _ l FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:. — J n 3i, r /� i
NO- 21 0 p ` � (fin ROOF, SHEATHING
SCHOOL WITHIN - HAZARDOUS 0 � �� SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO �o ❑ FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: _ HWY: PROP LINE: WIDTH:
FRONT PL- n INSULATION/WEATHER STRIP
'SIDE PL-
INTERIOR LATH/DRY WA L
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1306040073
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 28607 LT: 24 SQ. FT STORIES TYPE 10531 BOGUE ST 1
I (STRUCTURE: V-B I TEMP CA 917802817 1
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 1
18586-011-069 \ THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY CAI
TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
EXIST OCC GRP: 106/04/13 SR I
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: I FIVALPATE F/FINAL BY: CODE: 1
IWILBUR, ANGELA - 5,000 `
110531 BOGUE ST -I / _I
ITEMP 917802817 1 FEES PAID ID SCRIPTION OF WORK 41
1 12 PATIO DOORS REPLACEMENTS LIKE FOR LIKE (NO GRIDS) 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
(APPLICANT TEL. NO:
(VIGIL, SUSY (562) 818-5001- IAA BLDG PERMIT ISSUANCE 27.80 1
111029 CANDOR STREET IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS. 1
ICERRITO CA IAC STRONG MOTION RESID 5000.00 VAL 0.50
ID2 PERMIT W/O EN-HC 5000.00 VAL 132.60
TOTAL FEES 161 90 1
(CONTRACTOR- TEL. NO: IAPPROVALS DATE INSPECTOR SIGNATURE
SEARS HOME IMPROVEMENT (407) 767-0990-
11024 FLORIDA CENTRAL PKWY LIC. NO ILOCATION AND SETBACKS -
ILONGWOOD FL 32750 721379
I (SOILS ENGINEER APPROVAL
I 1 ,
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I
LIC. NO: ISLAB/UNDER FLOOR I I I
I I I
1 (RAISED FLOOR FRAMING I I
I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( (UNDERFLOOR INSULATION I I I
I I I
3 001 iFLOCR SHEATHING
INO. OF FAMILIES: DWELLING UNITS. APT/GOND: STAT CLASS: 1
NO 21 I IR00F SHEATHING
I I _
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I
I 1
(AIR QUALITY: 1000 FEET MATERIALS I _
NO NO NO I IFRAME INSPECTION I
I I I
I IFIRE SPRINKLER HANGERS I I 1
I I I
(INSULATION/WEATHER STRIPI I
IINTFRIOR LATH/DRYWALL I I
it JEXTERIOR LATH I I I
IRATED FLOOR/CEIL ASSEM. I I
IRATED WALL ASSEMBLIES
I I I
RATED SHAFTS/OPENINGS
IT-BAR CEILINGS
I* ADDITIONAL DATA ON FILE
I ILOT DRAINAGE I I 1
I I I
IREPORT ID: DPR261 ROUTE TO: BS0508